CLIA lab
CLIA 21D1105389: Gateway Pediatrics PA
Salisbury, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1105389 belongs to Gateway Pediatrics PA in Salisbury, MD.
Certificate of Waiver, effective September 23, 2025, expires September 22, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D1105389
- Lab name
- Gateway Pediatrics PA
- Address
- 1415 Wesley Dr, Salisbury, MD 21801
- Phone
- (410) 912-7000
- Fax
- (410) 860-2951
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Gateway Pediatrics PA in Salisbury?
21D1105389, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gateway Pediatrics PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1105389 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.